About this trial
This study aims to find out whether listening to music before, during, and after pain procedures can help reduce anxiety, pain catastrophising, and acute pain in patients with chronic pain. Music therapy may provide a simple, safe, and non-drug way to help patients relax and feel more comfortable.
In this study, adult patients with chronic pain who are scheduled for interventional pain procedures at Singapore General Hospital will be randomly assigned to one of two groups. One group will listen to self-selected music through headphones and speakers before, during, and after the procedure. The other group will receive standard care without music.
Researchers will measure anxiety, pain catastrophising, and pain levels before and after the procedure using validated questionnaires. The main outcome will be the level of anxiety after the procedure. Other outcomes include pain catastrophising scores, pain scores during local anaesthetic injection, and overall patient satisfaction.
This study will help determine if music therapy can be routinely used to improve comfort and emotional well-being for patients undergoing interventional pain procedures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged ≥21years
chronic pain ≥3 months
scheduled for interventional pain procedures
Disqualifiers
presence of hearing impairment
lack of capacity to consent
non-interventional pain procedures, e.g. lignocaine infusion, ketamine infusion
pregnant women
Trial design
Parallel
Treatments tested in this trial
Music Therapy
BehavioralThis intervention consists of perioperative music therapy for patients with chronic pain undergoing interventional pain procedures in the ambulatory setting. Participants in the intervention group will listen to self-selected music for approximately 30 minutes before, during the procedure, and 30 minutes after their procedure. Music will be delivered via headphones pre- and post-procedure and via a Bluetooth speaker during the procedure to facilitate communication with the procedural team.
Treatment groups
Trial outcomes
Primary outcomes
Postoperative Anxiety (Visual Analogue Scale)
Postoperative anxiety will be assessed using the Visual Analogue Scale for Anxiety, a 10-cm scale ranging from 0 (not anxious at all) to 10 (extremely anxious).
Secondary outcomes
Pain Catastrophising Score
Pain catastrophising will be assessed using the Pain Catastrophising Scale, which measures rumination, magnification, and helplessness related to pain. Each item is rated from 0 (not at all) to 4 (all the time), with total scores ranging from 0 to 52.
Postoperative Anxiety (State-Trait Anxiety Inventory Short Form)
State anxiety will be measured using the State-Trait Anxiety Inventory - Short Form (STAI-SF), a validated questionnaire assessing transient anxiety related to specific situations. Each item is rated on a 4-point scale, and total scores range from 20 to 80, with higher scores indicating greater anxiety.
Postoperative Pain Score
Pain intensity will be assessed using an 11-point Numerical Rating Scale, where 0 = "no pain" and 10 = "worst pain imaginable."
Patient Satisfaction
Patient satisfaction will be assessed after the procedure using a 5-point Likert scale (1 = Very satisfied, 2 = Satisfied, 3 = Neutral, 4 = Dissatisfied, 5 = Very dissatisfied). Participants in both groups will rate their overall satisfaction with their perioperative experience.
Other outcomes
Patient Music Preferences
The music genres that participants listened to as part of the music therapy will recorded for participants in the music therapy group. Data will be presented descriptively for each category, and to explore associations between music genre and anxiety or pain outcomes.
Locations
Sponsors and contacts
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